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Critical Care Recovery Center

An Innovative Collaborative Care Model for ICU Survivors

A. Khan, Babar, MD; Lasiter, Sue, PhD, RN; A. Boustani, Malaz, MD, MPH

AJN The American Journal of Nursing: March 2015 - Volume 115 - Issue 3 - p 24–31
doi: 10.1097/01.NAJ.0000461807.42226.3e
Feature Articles

Overview Five million Americans require admission to ICUs annually owing to life-threatening illnesses. Recent medical advances have resulted in higher survival rates for critically ill patients, who often have significant cognitive, physical, and psychological sequelae, known as postintensive care syndrome (PICS). This growing population threatens to overwhelm the current U.S. health care system, which lacks established clinical models for managing their care. Novel innovative models are urgently needed. To this end, the pulmonary/critical care and geriatrics divisions at the Indiana University School of Medicine joined forces to develop and implement a collaborative care model, the Critical Care Recovery Center (CCRC). Its mission is to maximize the cognitive, physical, and psychological recovery of ICU survivors. Developed around the principles of implementation and complexity science, the CCRC opened in 2011 as a clinical center with a secondary research focus. Care is provided through a pre-CCRC patient and caregiver needs assessment, an initial diagnostic workup visit, and a follow-up visit that includes a family conference. With its sole focus on the prevention and treatment of PICS, the CCRC represents an innovative prototype aimed at modifying post–critical illness morbidities and improving the ICU survivor's quality of life.

The authors describe the creation and implementation of a program aimed at maximizing the cognitive, physical, and psychological recovery of ICU survivors.

Babar A. Khan is an assistant professor at the Indiana University School of Medicine in Indianapolis, where Malaz A. Boustani is a professor. Khan and Boustani are also affiliated with the Indiana University Center for Aging Research and with the Regenstrief Institute, Inc., also in Indianapolis. Sue Lasiter is an assistant professor at the Indiana University School of Nursing. The authors acknowledge Lisa Hovious for her role as a care coordinator at the Critical Care Recovery Center (CCRC). The CCRC project received funding from Wishard Health Services. Khan's work on the project was supported through a career development award from the National Institute on Aging (NIA K23-AG043476); Boustani's work was partially supported through a grant from the same institute (R01AG034205). Contact author: Sue Lasiter, The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.

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